La Quinta Special

TEXAS GIRLS' COACHES DIRECTORY
www.texasgirlscoaches.com
2009-2010
PRINTABLE MAIL-IN ORDER FORM


NAME____________________________________

SCHOOL______________________

ADDRESS_________________________________________

CITY______________________________________

STATE________

ZIP___________

PHONE(HOME)_____-_____-_______

(SCHOOL)_____-_____-_______

E-MAIL____________________________________

FAX_____-_____-_______

CIRCLE ONE:

1 - $10.00
      (Free Shipping & Handling)
      $10.00 TOTAL

3 - $30.00
      (Free Shipping & Handling)
      $30.00 TOTAL

2 - $20.00
      (Free Shipping & Handling)
      $20.00 TOTAL

4 - $40.00
      (Free Shipping & Handling)
      $40.00 TOTAL

METHOD OF PAYMENT:

CHECK #__________

CASH_________

MONEY ORDER__________

PURCHASE ORDER______________

BILL LATER_____________

MAKE CHECKS PAYABLE TO:

LINDA MCMILLAN
819 NEWCASTLE CT.
ODESSA, TX  79764
YOU MAY PHONE IN OR FAX ORDERS TO  -  432-368-1824
www.TexasGirlsCoaches.com   -   go online to update or order